Individual provider · Type 1 NPI

Lauren Broksieck, PA-C

Physician Assistant · Bloomington, MN

NPI number 1508725102 Active

Practice location

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435

Call (952) 767-4574 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508725102

Lauren Broksieck, PA-C's National Provider Identifier is 1508725102, issued on Jan 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, MN. The record was last updated on Aug 24, 2026.